[荷兰骨科医院的科研产出：并非所有医院都符合荷兰骨科住院医师培训项目的要求]

[Scientific output of orthopaedic hospitals in the Netherlands: not all hospitals meet the requirements of the Dutch orthopaedic residency programme].

作者信息

Eshuis Rienk, Verheyen Cees C P M, de Gast Arthur

机构信息

Diakonessenhuis Utrecht, afd. Orthopedie, Utrecht, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2011;155(18):A2915.

Abstract

OBJECTIVE

To evaluate the feasibility of the requirements for scientific participation in the Dutch orthopaedic residency programme by assessing the numbers of articles published by orthopaedic teaching hospitals.

DESIGN

Descriptive.

METHOD

All 29 orthopaedic teaching hospitals in the Netherlands were asked to draw up a list of articles published from 2004 to 2009. The publications were subdivided into papers indexed in PubMed and papers published in the Nederlands Tijdschrift voor Orthopedie (NTvO, Netherlands Journal of Orthopaedics) and the Nederlands Tijdschrift voor Traumatologie (NTvT, Netherlands Journal of Traumatology).

RESULTS

There was an overall response rate of 72% (21/29). For the 8 non-responders a search of PubMed and the NTvO-NTvT journal databases was used to compile a list of their publications. The university teaching hospitals (n = 8) published 1150 articles, 1118 of which were indexed in PubMed, 19 published in the NTvO and 13 in the NTvT. Peripheral teaching hospitals (n = 21) published 689 articles: 590 indexed in PubMed, 77 published in the NTvO and 22 in the NTvT. In the peripheral teaching hospitals there was a positive correlation between the number of orthopaedic surgeons and PhD students and the number of published articles.

CONCLUSION

Of the 29 teaching hospitals, 9 (31%) did not meet the requirements for publication specified in the Dutch orthopaedic residency programme guidelines. The number of published articles is related to the numbers of orthopaedic surgeons and PhD students in peripheral teaching hospitals. The requirements for the minimum number of publications could therefore be revised to reflect the proportion of orthopaedic surgeons in each teaching hospital. The introduction of a weighting factor that accounts for the quality of the publications would also result in a more balanced assessment.

摘要

目的

通过评估骨科教学医院发表文章的数量，评估荷兰骨科住院医师培训项目中科研参与要求的可行性。

设计

描述性研究。

方法

要求荷兰所有29家骨科教学医院列出2004年至2009年发表的文章清单。这些出版物被细分为在PubMed中索引的论文以及发表在《荷兰骨科杂志》（NTvO）和《荷兰创伤杂志》（NTvT）上的论文。

结果

总体回复率为72%（21/29）。对于8家未回复的医院，通过搜索PubMed以及NTvO-NTvT期刊数据库来编制其出版物清单。大学教学医院（n = 8）发表了1150篇文章，其中1118篇被PubMed索引，19篇发表在NTvO上，13篇发表在NTvT上。周边教学医院（n = 21）发表了689篇文章：590篇被PubMed索引，77篇发表在NTvO上，22篇发表在NTvT上。在周边教学医院中，骨科外科医生和博士生的数量与发表文章的数量之间存在正相关。

结论

在29家教学医院中，有9家（31%）未达到荷兰骨科住院医师培训项目指南中规定的发表要求。发表文章的数量与周边教学医院中骨科外科医生和博士生的数量有关。因此，可以修订最低发表数量的要求，以反映每家教学医院中骨科外科医生的比例。引入一个考虑出版物质量的加权因子也将导致更平衡的评估。